Chad Ryan Dybdahl in Lilburn - Athletic Trainer
Chad Ryan Dybdahl - NPI 1588768022
Chad Ryan Dybdahl is a Athletic Trainer in Lilburn, Georgia. Chad Ryan Dybdahl practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Chad Ryan Dybdahl is 1588768022. The last update date is 2007-07-08.
Chad Ryan Dybdahl's current location address is 368 W Wind Dr Sw, Lilburn, Georgia. You can contact this provider via phone number 7707178867. The mailing address for Chad Ryan Dybdahl is 368 W Wind Dr Sw, Lilburn, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Chad Ryan Dybdahl |
|---|---|
| Address | 368 W Wind Dr Sw, Lilburn, Georgia |
| Phone Number | 7707178867 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | A.T.C. |
NPI Number Detail
| NPI Number | 1588768022 |
|---|---|
| Provider Enumeration Date | 2006-09-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 368 W Wind Dr Sw |
|---|---|
| City | Lilburn |
| State | Georgia (GA) |
| Post Code | 300476429 |
| Phone Number | 7707178867 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Athletic Trainer |
|---|---|
| Taxonomy | 2255A2300X |
| Licence No | AT000532 |
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Definition: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-leve |
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What is the unique 10-digit identification code assigned to Chad Ryan Dybdahl by the Centers for Medicare & Medicaid Services?
The Chad Ryan Dybdahl has been issued the NPI (National Provider Identifier) 1588768022, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Chad Ryan Dybdahl is geographically located?
The Chad Ryan Dybdahl is physically situated at the following location: 368 W Wind Dr Sw, Lilburn, GA, 300476429.
What is Chad Ryan Dybdahl's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Chad Ryan Dybdahl is Athletic Trainer, and the corresponding taxonomy classification code for this specialized field is 2255A2300X.
On what date did the Centers for Medicare & Medicaid Services assign the 1588768022 to Chad Ryan Dybdahl?
The Centers for Medicare & Medicaid Services assigned the 1588768022 to Chad Ryan Dybdahl on 2006-09-12.
As of what date were the details related to Chad Ryan Dybdahl most recently updated or revised?
The information pertaining to Chad Ryan Dybdahl, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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